Healthcare Provider Details
I. General information
NPI: 1851813919
Provider Name (Legal Business Name): JENNIFER DANETTE WELSH LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/11/2017
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
718 10TH ST STE W
ALAMOGORDO NM
88310-6777
US
IV. Provider business mailing address
1605 GEORGE DIETER DR STE 636
EL PASO TX
79936-5600
US
V. Phone/Fax
- Phone: 575-285-2245
- Fax:
- Phone: 915-671-1371
- Fax: 915-219-9022
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | CTB-2023-0538 |
| License Number State | NM |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: